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North Dakota

Cost of a ER Visit (Moderate) Visit
in North Dakota

Reviewed by Momentary Medical Group West PC

North Dakota's dispersed population across 53 counties creates unique challenges for emergency care access, with many rural residents traveling significant distances for moderate-severity ER visits. For a ER Visit (Moderate) in North Dakota, patients typically pay between $62 and $121, with a median negotiated rate of $62 based on insurer agreements with the state's 670 active providers. Browse all ER Visit (Moderate) providers across North Dakota to compare costs and find the right facility for your emergency care needs.

Average

$82

Median

$62

Lowest

$62

Highest

$121

Providers

670

National avg: $142North Dakota: $82

42% below national average

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Just $19.99/mo

Compare Similar Procedures

How does er visit (moderate severity) compare to related procedures in North Dakota?

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$40$40$91665
ER Visit (High Severity)

Emergency department visit, high severity

99285$91$98$177667

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99284 — Emergency department visit, moderate severity). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 99284 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99284 (Emergency department visit, moderate severity), as mandated by the CMS Price Transparency Rule.

What CPT 99284 covers: the provider's professional fee for er visit (moderate severity). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why ER Visit (Moderate) Visit Costs Vary Across North Dakota

Emergency care costs in North Dakota run approximately 4% above national averages, influenced by the state's rural geography and the high operational costs of maintaining 24/7 emergency services across sparsely populated regions. The state's oil boom regions around Williston have created unique healthcare demand patterns, while agricultural communities face seasonal variations in emergency care needs.

Urban vs. Rural Provider Availability

North Dakota's 39 critical access hospitals serve rural communities with populations under 25,000, operating under different Medicare reimbursement rules that can affect pricing structures. Urban centers like Fargo-Moorhead and Bismarck-Mandan offer multiple emergency department options including Level I trauma centers, while rural residents may drive over an hour to reach the nearest emergency facility.

Facility Type and Overhead Costs

Large health systems like Sanford Health and Essentia Health operate most of the state's major emergency departments, with their hospital-based facilities typically charging both physician fees and facility fees. Independent critical access hospitals in small towns often have higher per-visit overhead costs due to lower patient volumes but may offer more flexible payment arrangements for local residents.

Insurance Market Competition in North Dakota

The state's insurance market shows very low competition with BCBS ND, Sanford Health Plan, and UHC dominating coverage, creating consistent but limited negotiated rate structures across providers. This concentration can result in more predictable pricing but fewer options for consumers seeking lower-cost emergency care alternatives.

Physician Supply and Demand in North Dakota

With 670 active ER Visit (Moderate) providers serving a population of approximately 760,000, North Dakota maintains adequate emergency physician coverage in urban areas but faces challenges staffing rural emergency departments. Many critical access hospitals rely on locum tenens physicians or telemedicine support, which can create cost variations depending on staffing models and remote consultation fees.

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Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — ER Visit (Moderate) Costs in North Dakota

What is the average cost of a ER Visit (Moderate) visit in North Dakota without insurance?

Without insurance, a moderate-severity emergency room visit in North Dakota typically costs between $62 and $121, with a median rate of $62 based on negotiated rates between insurers and providers. However, hospitals often charge higher list prices to uninsured patients, so ask about self-pay discounts which can reduce your bill by 30-50%. Many North Dakota hospitals offer payment plans and financial assistance programs to help manage these costs.

Does North Dakota Medicaid cover ER Visit (Moderate) visits?

Yes, North Dakota expanded Medicaid in 2014, and the program covers emergency room visits for eligible recipients including adults up to 138% of federal poverty level. Medicaid covers both the emergency screening examination required by federal law and any necessary treatment for moderate-severity conditions. You may have small copays depending on your specific Medicaid plan, but emergency care is considered an essential health benefit under the program.

How do I find an affordable ER Visit (Moderate) near me in North Dakota?

Compare costs between different hospitals in your area, as critical access hospitals in rural areas may offer different pricing than large health system facilities in cities like Fargo or Bismarck. Ask about cash-pay discounts if you're uninsured, and consider whether urgent care centers can treat your condition as they typically cost significantly less than emergency departments. Community health centers throughout North Dakota also provide urgent care services on sliding fee scales based on income.

What is the difference in cost between an initial consultation and a follow-up visit?

Emergency departments don't operate on the traditional initial consultation versus follow-up visit model used in outpatient clinics. Each emergency visit is billed based on the complexity and resources required for your specific condition during that visit, with moderate-severity cases typically falling into the same $62-$121 cost range regardless of whether it's your first visit or a return visit for the same problem.

Can I use an HSA or FSA to pay for a ER Visit (Moderate) visit in North Dakota?

Yes, emergency room visits are qualified medical expenses under both Health Savings Account (HSA) and Flexible Spending Account (FSA) rules, allowing you to use pre-tax dollars for your deductible, copay, or coinsurance responsibilities. This includes all emergency department charges such as facility fees, physician fees, and any diagnostic tests or procedures performed during your visit. Keep all receipts and documentation for tax purposes when using HSA or FSA funds.

How does telemedicine affect the cost of seeing a ER Visit (Moderate) in North Dakota?

Telemedicine cannot replace in-person emergency care for moderate-severity conditions requiring physical examination, diagnostic tests, or immediate interventions. However, some North Dakota hospitals use telemedicine to connect rural emergency departments with specialists for consultation, which can help avoid costly transfers to larger facilities. Virtual urgent care services may help you determine if your condition requires emergency care or can be managed through less expensive alternatives like urgent care clinics.

Click a state to compare costs

Average Visit Cost

$82
$311

Office visit (CPT 99284)

Compare With Other States

RankStateAverage↓
1Wisconsin
Range: $73 – $647
$311
2Illinois
Range: $80 – $431
$223
3Iowa
Range: $80 – $371
$205
4New Hampshire
Range: $102 – $307
$202
5Pennsylvania
Range: $55 – $431
$191
6New York
Range: $67 – $374
$183
7Rhode Island
Range: $62 – $374
$177
8Maine
Range: $116 – $233
$172
9Massachusetts
Range: $62 – $368
$170
10Nebraska
Range: $83 – $291
$165
11Washington
Range: $80 – $259
$161
12Michigan
Range: $80 – $291
$158
13New Mexico
Range: $85 – $266
$158
14Wyoming
Range: $85 – $262
$157
15Colorado
Range: $80 – $267
$157
16Vermont
Range: $80 – $257
$156
17Georgia
Range: $84 – $246
$151
18California
Range: $80 – $258
$142
19Indiana
Range: $80 – $258
$142
20Kentucky
Range: $70 – $246
$140
21North Carolina
Range: $80 – $231
$139
22District of Columbia
Range: $80 – $217
$138
23West Virginia
Range: $62 – $174
$137
24Utah
Range: $80 – $228
$135
25Maryland
Range: $80 – $206
$132
26New Jersey
Range: $60 – $237
$131
27Hawaii
Range: $80 – $217
$130
28Arkansas
Range: $80 – $194
$130
29Virginia
Range: $81 – $202
$129
30Tennessee
Range: $85 – $187
$128
31South Carolina
Range: $80 – $206
$128
32Ohio
Range: $75 – $197
$127
33Missouri
Range: $85 – $167
$124
34Alabama
Range: $80 – $195
$124
35Oklahoma
Range: $85 – $169
$123
36Kansas
Range: $86 – $167
$123
37Texas
Range: $80 – $196
$122
38Arizona
Range: $80 – $187
$122
39Mississippi
Range: $86 – $165
$121
40Idaho
Range: $80 – $194
$121
41Delaware
Range: $80 – $157
$120
42Minnesota
Range: $62 – $233
$119
43Nevada
Range: $84 – $184
$119
44Connecticut
Range: $55 – $211
$118
45Alaska
Range: $80 – $194
$118
46Louisiana
Range: $62 – $150
$104
47Oregon
Range: $62 – $183
$102
48Montana
Range: $62 – $145
$96
49Florida
Range: $35 – $190
$95
50North Dakota
Range: $62 – $121
$82
51South Dakota
Range: $62 – $121
$82
ER Visit (Moderate Severity) in Other States
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming